Senior Indemnity Claims Specialist
About the role
This is a remote position handling complex and high-profile Workers’ Compensation claims. The Senior Indemnity Claims Specialist ensures the best possible outcome for each claim while meeting customer service expectations and supporting the goals of the Claims Department and CorVel.
Responsibilities
- Receives Workers’ Compensation claim, confirms policy coverage, and acknowledges the claim
- Determines validity and compensability by investigating and gathering information; files necessary documentation with state agencies
- Establishes reserves and authorizes payments within reserving authority limits
- Develops and manages well-documented action plans with the case manager and outcomes manager to reduce overall claim cost
- Coordinates early return-to-work efforts with appropriate parties
- Manages subrogation and litigation of the claim as applicable
- Manages potential claim recoveries of all types
- Reports claims to the excess carrier when applicable
- Communicates claim status with the customer and claimant
- Adheres to client and carrier guidelines; participates in claims review as needed
- Develops and maintains professional customer relationships
- Complies with rules and regulations of applicable states
- Performs additional duties as assigned
Requirements
- Bachelor’s degree or a combination of education and related experience
- Minimum of 3 years’ industry experience and claim handling
- Self-Insured Certificate preferred
- State Certification or license as an experienced claims adjuster
- Current license or certification in Workers’ Compensation must be maintained throughout employment
Skills
- Excellent written and verbal communication skills
- Ability to assist team members in developing knowledge and understanding of claims practice
- Ability to identify, analyze, and solve problems
- Computer proficiency and technical aptitude with Microsoft Office, including Excel spreadsheets
- Strong interpersonal, time management, and organizational skills
- Ability to work both independently and within a team environment
- Knowledge of the entire claims administration, case management, and cost containment solutions as applicable to Workers’ Compensation
Pay
CorVel uses a market-based approach to pay. The pay range for this role is $61,053 – $98,334, depending on geographic location, job-related skills, experience, qualifications, internal equity, and market conditions. For leveled roles, new hires may be placed into a different level based on experience, qualifications, and overall fit, which may adjust the salary range.
Benefits
- Medical (HDHP) with Pharmacy
- Dental and Vision
- Long Term Disability
- Health Savings Account and Flexible Spending Account options
- Life Insurance, Accident Insurance, Critical Illness Insurance
- Pre-paid Legal Insurance
- Parking and Transit FSA accounts
- 401K and ROTH 401K
- Paid time off
About CorVel
CorVel is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health, and disability management industries. Founded in 1987 and publicly traded on the NASDAQ since 1991, CorVel is a certified Great Place to Work® company with over 4,000 employees across the United States. The company embraces core values of Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE-IT!).